Virtual, US SC, GA, Idaho, Minnesota, Missouri, Utah, Pennsylvania, Texas, Florida, Ohio, Wisconsin, Arkansas, Arizona, Georgia, Illinois, Indiana, Kentucky, Minnesota, New Mexico, Nevada, Tennessee, Florida, New Jersey,
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being, and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas, and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make? Read employee reviews here
Qualifications:
High school diploma or equivalent required.
Pharmacy Technician Certification preferred (CPhT).
Minimum two years of customer service experience in any industry required, preferably in a call center or production environment.
The position requires excellent communication and interpersonal skills.
Possess the ability to understand and interpret policy provisions.
Demonstrate strong data entry, Intermediate or advanced excel and typing skills with proficiency in the use of a PC including the ability to use a mouse and keyboard interchangeably.
Ability to use telephone equipment, including a headset.
Communicate information in a tactful and positive manner at all times.
Capacity to understand complex oral and written directions as well as technical information.
Exhibits a positive attitude at all times; embraces and adapts to change.
Demonstrate an ability to work as part of a high-performing team.
Capability to work overtime as needed during peak periods throughout the year (including nights and weekends).
Work from home-SC, GA, FL-eviCore
Upon joining us, you will attend 6 weeks of in-depth training to help ensure your success here at eviCore healthcare. After training, a mentor and supervisor will guide your performance as you take inbound calls from doctor's offices and/or diagnostic centers, through a computer-generated system. The ability to multitask will be key, as you will be listening, entering information, completing Internet searches, and asking probing questions. Specifically, you will:
Process Review of Service Request notifications that do not require certification of medical necessity
Promptly transfer Review of Services calls which cannot be completed via the formal script to a Clinical First Level Reviewer or Medical Reviewer for completion
Work with sites, patients, and physician’s offices to investigate and resolve any pre-certification questions or concerns and preempt unanticipated issues
Provide professional, courteous, and accurate information to all callers
What You Should Have
A strong customer service orientation and commitment to providing outstanding service
Strong attention to detail
Professionalism and a strong work ethic; the ability to excel and meet your responsibilities in a highly structured environment
The ability to work independently and as a reliable team member
An upbeat attitude with a coachable persona
Inquisitiveness and the desire to continually learn and improve.
Idaho, Minnesota, Missouri, Utah, Virtual, US
They are responsible for building rapport and educating members on their available options, including but not limited to, facility or screening options, preventative screening services available to them, or other alternative treatment options. The intent is to assist the member in selecting the option that best pertains to them. Daily duties include conducting research on each case, reaching out to the physician’s offices, making outbound calls to our members, and fielding incoming calls from members.
Soft Skills: Aptitude for dealing with complex/challenging customers and demonstrated ability to deescalate a situation, coachable, willingness to learn, enhanced collaboration skills, team player, dependable, punctual, flexibility to different personalities & situations, great attitude, problem solver, professionalism, and an ability to recognize the importance of educating and assisting the members we serve.
Pennsylvania, Texas, Florida, Ohio, Wisconsin, Arkansas, Arizona, Georgia, Illinois, Indiana, Kentucky, Minnesota, New Mexico, Nevada, Tennessee**
***$2000 Sign-On Bonus***
As an Inside Sales Representative, you will work with patients, managing inbound and outbound calls to convert prescription medication needs from retail pharmacies to the Express Scripts Home Delivery pharmacy. Our Inside Sales Representatives apply a consultative approach to communicate with customers and potential customers about our home delivery benefits. Specifically, they provide insights on the options available for customers to have their prescriptions filled by the Express Scripts Pharmacy, educating them on the safety and convenience of our services and informing them of how our offerings fit their lifestyle.
How You’ll Make A Difference:
Help patients better understand the Home Delivery benefit. Use your expert knowledge and consultative sales approach to educate patients on the benefits of receiving their medication via home delivery, helping them to understand why it’s a good fit for their lifestyle.
Help patients get the medication they need. You’ll research issues on benefits coverage and provide guidance to our patients about making the best use of their benefits.
Juggle multiple tasks without sacrificing attention to detail. You’ll manage multiple requests simultaneously as well as document conversations in our computer system.
What You Should Have:
High School Diploma / GED required
Excellent phone and sales skills
Ability to achieve targets
Relevant experience with customer service
Call Center experience preferred
General PC knowledge including Microsoft Office
Excellent communication skills (verbal and written)
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TN and MO-eviCore
What you should have:
High School Diploma / GED required
A strong customer service orientation and commitment to providing outstanding service
Professionalism and a strong work ethic; the ability to excel and meet your responsibilities in a highly structured environment
Excellent verbal and written communication skills
Why join us?
6 weeks of classroom and training lab, including:
Best in class call center training program
A classroom environment, live trainer, and open discussion
A proven curriculum provides the knowledge you need to excel
A training lab where you take live calls with a training supervisor close by to answer questions
18 days of PTO per year plus paid holidays
Health, dental, vision, and life benefits with employer-funded HSA
Monthly pay for performance bonus incentive
A clear path for advancement, with eviCore’s CoreMap showing your unique path to future opportunities!
NOTE: This is a work-from-home opportunity and you will be required to have reliable internet connectivity provided through a wired connection. A mobile or hot spot environment is not acceptable and you set up may need to purchase an Ethernet cord depending on your current setup.
Work From Home, Evercore
The intent is to assist the member in selecting the option that best pertains to them. Daily duties include conducting research on each case, reaching out to the physician’s offices, making outbound calls to our members, and fielding incoming calls from members.
Soft Skills: Aptitude for dealing with complex/challenging customers and demonstrated ability to deescalate a situation, coachable, willingness to learn, enhanced collaboration skills, team player, dependable, punctual, flexibility to different personalities & situations, great attitude, problem solver, professionalism, and an ability to recognize the importance of educating and assisting the members we serve.
Minimum Education, Licensure, and Professional Certification requirement: High school diploma or GED
This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.
Minimum Experience required: Six months in a high volume contact center setting preferred, sales experience preferred, reliable transportation, phone skills, computer skills, basic Microsoft Excel, Microsoft Outlook, and Cisco Jabber (Internal) skills. Must be able to type more than 30 words per minute. Customer Service Skills (history of customer service exp) preferred, and must have a friendly and professional voice and tone
We’re looking for Pharmacy Technicians to join our team, working from your own home. If you are currently working in a Pharmacy, or have previous pharmacy experience, this role is different – No more commute to work, answering phones and customer questions. Take a break from the retail environment, work from the comfort of your own home, and take control of your own schedule while helping our 95+ million members make the most of our benefit offerings.
How you’ll make a difference:
Be a superstar in the eyes of providers and patients. On day to day, you’ll be responsible for reading prescriptions and entering that data into our computer systems. Your work will ensure our patients get the medication they need at the right time.
Create new knowledge with our systems and new relationships with your peers: You’ll work with a team of supportive pharmacists, operations teams, and doctors who want you to succeed. Speaking of supportive environments, did you know we offer 18 PTO + 8 holidays off/year, tuition reimbursement, benefits that start on day one, and 401K match? Well, now, you do.
Grow further with your pharmacy career; Learning is essential to our core values as a company, and this role is no different. When you’re ready for the next thing, we’ll be right behind you, with the training and development you need to succeed in the health services industry. This role is just the beginning.
What you should have:
Valid Pharmacy technician certification/registration as required by state laws.
Experience working in a pharmacy environment as a Pharmacy Technician
High School Diploma / GED required
Basic math skills and general PC knowledge including Microsoft Office, use of the internet, and email is required
Excellent verbal and written communication skills
Minimum 1 year of data entry experience or equivalent experience in a related field preferred
Attention to detail is extremely important.
Work at home- Qual-Lynx
Location: This role can be remote work at home, preferably in New Jersey. Office location is in Egg Harbor Twp, NJ
Acknowledge supervisor’s instructions for continued handling.
Contact insured within 24 hours of receipt of assignment.
Assign appraisal within 24 hours.
Timely investigation of important issues relating to property damage.
Subrogation and potential third-party defendants should be recognized and investigated, as well as put on notice immediately.
Establish an appropriate diary for continued follow-up, not exceeding 30 days initially, when applicable.
Documentation of all investigations, phone calls significant correspondence, and supervisory/management directives must be evident in adjuster’s file notes.
Coding - ongoing review of all codes.
Follow for subrogation, if applicable.
Complete arbitration, if necessary.
ESSENTIAL FUNCTIONS:
Responsible for validating potential clinical and/or financial opportunities using scripted questions.
Forward all potential clinical opportunities to a pharmacist to address. Engage members to educate them about more effective ways to manage cost and to take better advantage of their prescription benefits.
Handle refill requests, launch faxes, and may also leverage digital platforms (emails, texting) to communicate with patients as appropriate.
Using pharmacy and benefit plan knowledge, will be responsible for managing a broad spectrum of member inquiries related to the planning design, order status, specific account information, and other matters in accordance with company standard operating procedures, work instructions, and other established guidelines. Enters complete and accurate records into the appropriate systems for all contacts.
Work collaboratively with other Clinical Programs employees to ensure that best practices are shared.
Participate in special projects or other duties as assigned.
MINIMUM QUALIFICATIONS TO ENTER THE JOB
High School diploma or equivalent
2-3 years in a clinical setting, call center, or customer service required. Previous pharmacy experience preferred
PTCB certification preferred but not required
General knowledge of Microsoft Outlook and the Internet with the ability to navigate through multiple computer systems simultaneously
Good verbal and written communication skills;
Basic math skills;
Strong attention to detail;
Good organizational ability;
Ability to work in fast-paced, production environment;
Willingness to work a flexible schedule based on business needs;
Ability to learn about pharmacy-related fundamentals, including the correct pronunciation of drug names and general conditions for use;
Ability to engage and influence members toward developing behaviors that promote better health outcomes;
Demonstrate dependability, self-motivation and goal-orientation;
Ability to positively represent ESI’s vision and values when interacting with customers and membersthe
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